Individual
MS. KAYLA KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(218) 280-9840
Mailing address
1156 S LAKE ST, SALT LAKE CITY, UT 84105-1241
(218) 280-9840
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8965011-4201
UT
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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